The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana

Agbadja, Comfort; Bruku, Cynthia Sekyere; Kumordzi, Vivian; Tuglo, Jessica Dzigbordi; Asaaba, Leticia Atiah; Agyei, Mercy; Boakye, Cynthia; Sakre, Sylvia Mawusinu; Lu, Qingyun

doi:10.3389/fpubh.2021.779404

Cited by 10 publications

(11 citation statements)

References 34 publications

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“…To reduce maternal mortality, there is a need to identify and address barriers that limit access and reduce the quality of obstetric services in the health system. Recent studies on the barriers of institutional birthing have established that experiences of mistreatment and abuse in health facilities are major impediments to their use ( 9 – 11 ). Across the globe, many women are abused during childbirth in health facilities.…”

Section: Introductionmentioning

confidence: 99%

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana

Yalley

Abioye²,

Appiah³

et al. 2023

Front. Public Health

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BackgroundAbuse and mistreatment of women during childbirth is a major barrier to facility-based delivery, putting women at risk of avoidable complications, trauma and negative health outcomes including death. We study the prevalence of obstetric violence (OV) and its associated factors in the Ashanti and Western Regions of Ghana.MethodologyA facility-based cross-sectional survey was conducted in eight public health facilities from September to December 2021. Specifically, close-ended questionnaires were administered to 1,854 women, aged 15–45 who gave birth in the health facilities. The data collected include the sociodemographic attributes of women, their obstetric history and experiences of OV based on the seven typologies according to the categorization by Bowser and Hills.FindingsWe find that about two in every three women (65.3%) experience OV. The most common form of OV is non-confidential care (35.8%), followed by abandoned care (33.4%), non-dignified care (28.5%) and physical abuse (27.4%). Furthermore, 7.7% of women were detained in health facilities for their inability to pay their bills, 7.5% received non-consented care while 11.0% reported discriminated care. A test for associated factors of OV yielded few results. Single women (OR 1.6, 95% CI 1.2–2.2) and women who reported birth complications (OR 3.2, 95% CI 2.4–4.3) were more likely to experience OV compared with married women and women who had no birth complications. In addition, teenage mothers (OR 2.6, 95% CI 1.5–4.5) were more likely to experience physical abuse compared to older mothers. Rural vs. urban location, employment status, gender of birth attendant, type of delivery, time of delivery, the ethnicity of the mothers and their social class were all not statistically significant.ConclusionThe prevalence of OV in the Ashanti and Western Regions was high and only few variables were strongly associated with OV, suggesting that all women are at risk of abuse. Interventions should aim at promoting alternative birth strategies devoid of violence and changing the organizational culture of violence embedded in the obstetric care in Ghana.

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Section: Introductionmentioning

confidence: 99%

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana

Yalley

Abioye²,

Appiah³

et al. 2023

Front. Public Health

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“…Yamane's formula, n = N /1 + N ( e 2 ), 16 was used to calculate the sample size, where n = sample size, N = population size, e = margin of error (5%), plus 10% non‐response. An estimated sample size of 334 was derived from an average of 2 months (1256) of attendance at the health facilities 4 .…”

Section: Methodsmentioning

confidence: 99%

Prevalence and determinants of lower extremity amputations among type I and type II diabetic patients: A multicenter‐based study

Tuglo

2022

International Wound Journal

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The incidence of diabetes‐related lower‐extremity complications is increasing globally, yet the condition in developing countries, particularly those in sub‐Saharan Africa, is unclear. This study determined the prevalence and determinants of lower extremity amputations among type I and type II diabetic patients at health facilities in the Volta Region, Ghana. This was a multicenter‐based study involving 473 diabetic patients. Sociodemographic, lifestyle, medical, biochemical, and anthropometric data were obtained systematically with a pretested structured questionnaire. The prevalence rate of lower extremity amputations (LEAs) was 1.9%. LEAs were linked to the male gender (unadjusted odds ratio [UOR] = 5.86; 95% confidence interval [CI] = 1.44‐23.82; P = 0.013), smokers (UOR = 10.12; 95% CI = 2.63‐38.91; P = .001), type I diabetic patients (UOR = 4.74; 95% CI = 1.24‐18.10; P = .023), family history of diabetes mellitus (UOR = 9.18; 95% CI = 2.25‐37.46; P = .002), diabetic foot ulcers (adjusted odds ratio [AOR] = 8.62; 95% CI = 1.58‐47.62; P = .013) and obesity (AOR = 6.20; 95% CI = 1.00‐38.04; P = .049). This study showed a relatively low prevalence rate compared to previous studies within Ghana. However, it is a major concern in public health that needs to be addressed since diabetes‐related LEAs are connected to global major morbidity and mortality.

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“…Sick patients who were unable to talk, those who disagreed to participate and gestational diabetic patients were excluded from the study 23 . A total of 473 diabetic patients were enrolled and were determined based on the study population (N = 1256) using Yamane's formula; n = N/1 + N(e 2 ) 25 , where n = sample size, N = population size, e = margin of error (5%), plus 10% nonresponse.…”

Section: Methodsmentioning

confidence: 99%

Comparison of adiposity anthropometric indices and their associations with visceral fat levels determined by bioelectrical impedance analysis among diabetic patients

Tuglo

2022

Sci Rep

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Visceral fat (VF) and its effect on metabolic disorders have been extensively studied; nevertheless, there is a need for a simple and reliable index to equally assess VF in low-resource settings. This multihospital-based study was designed to compare the five adiposity anthropometric indices and their associations with VF levels determined by bioelectrical impedance analysis as the reference standard among diabetic patients. A pretested questionnaire was used to collect anthropometric, biochemical and hemodynamic data from 473 diabetic patients. Regression analysis was performed to determine the associations between the five adiposity anthropometric indices and VF levels. Receiver operating characteristic (ROC) curves were used to confirm the predictive capacities of the five adiposity anthropometric indices with VF levels. The waist-to-height ratio WHtR showed the greatest ROC value [area under the curve (AUC) = 0.745, p ˂0.001] in identifying diabetic patients with high VF levels compared to body mass index BMI [AUC = 0.584, p = 0.047], waist circumference WC [AUC = 0.723, p ˂0.001], hip circumference HC [AUC = 0.647, p ˂0.001] and waist-to-hip ratio WHR [AUC = 0.711, p ˂0.001]. Likewise, the regression analysis of WHtR and VF levels revealed the strongest association [unadjusted odds ratio (UOR) = 21.49, p < 0.001] compared to BMI [UOR = 6.77, p = 0.008], WC [UOR = 6.37, p < 0.001], HC [UOR = 5.93, p = 0.002] and WHR [UOR = 13.17, p < 0.001]. The optimal cut-off values to identify diabetic patients with high VF levels were > 0.5 for WHtR, > 25.7 kg/m2 for BMI, > 80.5 cm for WC, > 95.5 cm for HC and > 0.82 for WHR. WHtR was shown to have overpowered BMI, HC, WC and WHR in identifying diabetic patients with high VF levels. Therefore, the Ghana Health Service could recommend WHtR as a better diagnostic index for assessing VF levels due to its high predictive capacity.

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The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana

Cited by 10 publications

References 34 publications

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana

Prevalence and determinants of lower extremity amputations among type I and type II diabetic patients: A multicenter‐based study

Comparison of adiposity anthropometric indices and their associations with visceral fat levels determined by bioelectrical impedance analysis among diabetic patients

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